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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LIFE JOURNEY PLLC

Active Organization

LIFE JOURNEY PLLC is a Psychologist organization located in GRAND RAPIDS, Michigan. NPI 1538531017 is currently active in the NPPES registry. Verify at CMS.

Psychologist · GRAND RAPIDS, MI

Registration Details

NPI Number
1538531017
Provider Type
Organization
NPI Issued
Oct 23, 2015 (10.835936609132 yrs)
Last Updated
Jan 24, 2020
Licenses
6301016514 (MI)
6301016514 (MI)
6301016514 (MI)
6301016514 (MI)
6301016514 (MI)

Practice Information

Address
2013 EAST CASTLE DRIVE SW
SUITE B
GRAND RAPIDS, MI, 49508
Browse MI providers · Browse ZIP 49508
Phone
6168881120
Fax
6164691113
Primary Specialty
Psychologist
103T00000X
Additional Specialty
Clinical Psychologist
Additional Specialty
Counseling Psychologist
Additional Specialty
Forensic Psychologist
Additional Specialty
Geriatric Psychologist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.